NPI | 1831753128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.471879) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.170170.MEDS-IV) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2020-01-15 |